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Eating for Two: What to Eat While Pregnant

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Last year I got a late Christmas present—on December 26, I found out I was a few weeks pregnant. The very first thing I did was eat a celebratory piece of cheesecake (it’s silly, but I felt as if I was giving the embryo a treat—thank you for implanting!). My second priority was to start reading about what I was actually supposed to be eating, which I suspected was not the cheese enchiladas, endless milkshakes, and french fries I dreamed of as the ideal indulgent pregnancy diet. To prepare for pregnancy, I had already cut out alcohol and started taking folic acid supplements, but how else would I have to change my ways in the months ahead?

20080226-whattoexpect.jpgI didn’t think it would be that radical; after all, I already eat tons of vegetables and a reasonable quantity of beans and lentils, sneak whole grains into dinner every now and then, and try to enjoy a wide variety of foods in moderation. (Um, except for baked goods—when I bake exceptionally good cookies or bread, I find ways to justify eating quite a lot.) Despite my having always scoffed at vitamins, I picked up a prenatal multi just to make sure any gaping nutritional holes were plugged. Then I turned to What to Expect When You're Expecting, eager for little hints about how I could best nourish myself and the baby.

Holy cow! These were not little hints—these were rather strict guidelines. While urging me not to stress out, the authors frequently reminded me that these were perhaps the most important nine months in my child’s nutritional life. The rare indulgence—a blueberry muffin, two scoops of ice cream—was permissible, but for the most part the developing baby needed a diet of straight superfoods, if possible broken out daily into three servings of lean protein, four servings of calcium-rich foods, three servings of vitamin C–rich foods, three to four servings of leafy green or yellow vegetables and fruits, one or two servings of other fruits and vegetables, “some” iron-rich food every day, four servings of fat, and a whopping six or more servings of whole grains and legumes. Some foods, of course, do double duty—yogurt is protein and calcium, beans and lentils fall into the protein and whole grain categories, and greens are, well, green in addition to being full of calcium and vitamin C—but the prospect of trying to work all this out, even in a casual way, made my head spin.

Conflicting Advice

Poking around the internet revealed that the prescriptions in What to Expect are considered to be relatively rigorous, an ideal to shoot for rather than a realistic daily plan, but over and over again I encountered the idea that what I ate while pregnant would make or break my child’s future intelligence and physique. Pregnant women who start at a healthy weight should eat only about 300 extra calories a day, beginning only in the second trimester, and their nutritional needs are so high that those extra calories should definitely not be empty (like the un-recommended extra calories I, nearing the end of my first trimester, have recently been consuming in peanut butter cookie form). If you aren’t nervous now about getting it right, just consider all the conflicting advice and bickering about the many ways you might get it wrong (hot dogs, soft cheese, sushi, Diet Coke?) and the mortal confrontation between the Puritans, who think three ounces of wine at dinner is child abuse, and the Europhiles, who claim that their mothers treated morning sickness with cigarettes and martinis, so what harm can a small glass possibly do?

Variety and Vitamins

If you care about food and lack the resources to hire a personal nutritionist and chef, it’s a lot to process. Me, I’m back to counting on variety and vitamins to keep me balanced and healthy. I’m making an effort to eat more fish, which I think of as a luxury, in affordable, low-mercury forms like sardines and canned salmon, and am searching for whole grain dishes I am actually excited to eat. My new snacks are sunflower seeds (protein), tomato juice (vitamin C), and ants on a log (excuse to eat peanut butter, protein), joining old favorite snacks cheese (calcium) and almonds (protein).

Meg Hourihan’s excellent post from last summer, "How I Ate While Pregnant," comes to mind frequently when I encounter scare stories about what not to eat. Painfully, I cut out coffee when this was published, but I’m probably eating more dessert than I should, since my only cravings so far seem to be SWEET and PEANUT BUTTER.

Although—and perhaps I should not admit this in a public forum—it’s sometimes hard for me to tell whether I’m actually craving a cookie or ants on a log or if I’ve just lowered my willpower and blamed it on pregnancy. This is such a happy time, and baking and eating cookies is one of the best, easiest ways I know to amplify joy. As long as I’m walking everywhere and eating all the healthy stuff, too, I don’t feel so bad about celebrating a little every day. We’ll just have to see if I feel the same after my next weigh-in at the obstetrician’s office.

Meantime, I’ll be sharing the ways I find to work more whole grains, fish, and other foods high in virtue into my diet and baby’s without making our dinner table look like a postcard from some grim commune. I’m no doctor or nutritionist—I’m a pregnant lady with an internet connection, a library card, and a lot of cookbooks—but I’m fairly confident that most of us would do well to add more healthy meals and snacks to our repertoires. Unless, of course, you’re already easily getting your six servings of whole grains and legumes and more than five vegetables every day, in which case, who are you, and will you please share your secrets with all of us?

About the author: Robin Bellinger recently escaped a career in book publishing, which was really cutting into her cooking time. Now she is a freelance editor and can bake bread on Tuesday afternoon if she feels like it. She lives in midtown Manhattan with her husband and blogs about cooking and crafting at home*economics.

17 Comments:

Congratulations! yay! You'll be fine! Don't get all freaked out with all the "helpful" advice, including my own, which basically says, "Use common sense."

I.e., eat a well-balanced and varied diet, composed of as many whole, nutrient-rich "real" foods as possible and plenty of fluids. Get some daily activity. Keep taking those prenatal vits for the exact reason you mentioned (just in case). Get plenty of rest. I'm personally in the camp that says one-cup-of-coffee-per-day and a now-and-then-glass-of-wine won't hurt, and might help keep you sane (a characteristic you'll need post-partum).

Enjoy it!!!

p.s., hopefully you plan to breastfeed. If you keep eating the same calories post-partum that you take in during pregnancy, you'll lose the baby weight easily, because breastfeeding burns about 400-500 calories (vs the 300 calories needed to support a healthy pregnancy). Woo-hoo!

I've always thought all the advice looked overwhelming, and imagine I'll plump for pretty much the same option as you. Healthy, balanced, variety and cutting out a few undesirables. Speaking of which isn't cheese (hard cheese anyway) an undesirable because of the risk of listeria? I guess that risk could be theoretically cleared up by improved hygiene etc, but I know there is still the occasional outbreak...

This was a great post. I'm about nine weeks along, and have constant anxiety about my diet. I have been battling nausea the past few weeks and all I want is cold food (ice cream, ice-cold oranges, ice-water, etc) and potatoes. I have been trying to eat healthful foods whenever I am able, but man. Sometimes mashed potatoes are about the only food I can stomach.

Congrats! Here's a story my 12 year-old loves (she loves to hear about when I was pregnant). I had to make a deal with my pregnant tummy (which was kinda repulsed by coffee) and the rest of me (which really needed a little caffeine to wake up). If my tummy let me have a couple of sips every morning without nausea, the rest of me would wake up with such severely truncated caffeine levels. It seemed to work, and I have a great, healthy kid.

Don't get freaked out by unrealistic advice, enjoy cookies, and most of all, enjoy your pregnancy if at all possible. It looms very large (as do you, eventually) while it's happening, but in the scheme of your child's life, it's a mere blip.

And yeah, breastfeeding is great for burning calories!

Don't worry! Your body knows what to do. These books are only meant to get their opinion of what pregnancy is like. Kind of like diet books. I have four kids and each time I was pregnant I gained 60 pounds. During the first two my ob/gyn lectured me about gaining too much weight, high blood pressure, ect. But I didn't have any of those problems. So during the next two pregnancies he just shrugged and said "your body just likes to be at this weight when you are pregnant." Just remember women have been giving birth long before doctors and way before books were published about it. Just use common sense and you should be fine. Good Luck and Congratulations! also get a lot of sleep... you're going to need it.

evilchefmom wrote at 3:59PM on 02/26/08: Congratulations! also get a lot of sleep... you're going to need it.

Hahahahahaha... ain't THAT the truth... in about six or seven months your only real use of the word will be in relation to getting the BABY to sleep. Meanwhile, you'll have forgotten you'd ever experienced it yourself!

(I'm exaggerating... a little... But, another benefit of breastfeeding is the ability to have a baby nurse while you sleep... mother nature rocks!)

Congratulations--I really enjoyed the whole nine months (luckily no real morning sickness). There is so much information out there now--when I was pregnant 15 years ago, What to Expect...was really the only source out there. But I found, as with most things, moderation is best and will serve you just fine in the end. Definitely take the vitamins and get plenty of rest---you will need it. One more thing---during the last couple of months of my pregnancy, I really craved fruit---any and all kinds--so I ate fruit. My son who will soon be 15 is a HUGE fruit fan and always has been--he will choose fruit over just about anything (except ice cream).

i, too, found out i was pregnant on new year's eve! as a chef, i have to take all the crazy nutritional guidelines with a grain of salt (and a dash of olive oil).
i've eaten sushi...at very reputable places, i've had european soft cheeses and "vein-y blue cheese". i've had coffee and pate and and foie torchon. IN MODERATION. and i'm craving chicken liver mousse every day. i just don't understand how women in japan can eat sushi and european women can eat freaky cheeses and pate, but somehow we can't. i can't get down with that!
besides, about 500 people died from listeriosis, but 20,000 died from the flu and over 42,000 were killed in car accidents. americans are crazy.

Congratulations! I recently did back-to-back pregnancies (not wholly recommended) - and a healthy diet was crucial to getting through. I ate a lot of wild salmon and sauteed greens with brown rice - an easy staple meal. Having a few simple but healthy & satisfying meals in your repitoire will definitely serve you when you are sleep deprived. I was not afraid to eat treats - but tried to alternate with popcorn :) I still gained 60 pounds - each time! - but with my youngest now 8 months I am back to pre-pregnancy weight. Breastfeed! Both of my kids love salmon and avocado - my 22 month old eats kale! (I realize this all may change...) But, you sound like a healthy eater already - and your instincts will tell you what you need. Good luck!

Thanks for all your kind comments, and for sharing your experiences! I am looking forward to lots of healthy meals (and some milkshakes and cookies) between now and September, and then the experience of breastfeeding--and waiting anxiously to find out whether baby will take to kale and other healthy foods I love. AND I am definitely sleeping well and taking plenty of naps while I can!

@sarahdir, soft cheeses made from unpasteurized milk are considered by many to be too risky for pregnant and nursing women b/c of the risk of listeriosis. (Hard cheese should be ok, and I have been eating soft pasteurized cheese, too). But as dmarina says, pregnant women in the United States avoid quite a few foods that women in other countries continue to eat throughout pregnancy.

Congratulations! As you may have already found, pregnancy affects your eating habits in weird ways. I found myself eating every couple of hours during the day, but I never woke in the middle of the night starving like many of my friends did. I did want to encourage you to stick to those weight-gain guidelines as much as possible - my friends who gained more than 40 pounds almost all had complications, ranging from "keep an eye on that" minor conditions to more serious conditions like gestational diabetes. It's not exactly easy to do, since sometimes it seems our body wants to gain X number of pounds no matter what, but what you're doing (i.e., eating a sensible diet) is the best thing. I particularly liked that I could eat a lot of eggs when I was pregnant without feeling any guilt - it's so good for the baby!

Zoe Singer, formally of New York Magazine recently started posting about this subject in a blog called Mom Appetit. It's cute - more musings than anything super-factual or advise column-like, but worth a look.

http://www.fitpregnancy.com/blog/pregnancyrecipes/229?section=914

Leah
Editor, The Jew & The Carrot
http://www.jcarrot.org

With my first kid I ate right, no fried foods, no caffeine, and I exercised. He 4 and way underweight and has all these food allergies.
My second pregnancy? I drank Coke every day and ate candy. That second child is healthy as a horse.
Go figure.

My only advice would be to steer clear of What to Eat When You're Expecting... It's been fifteen years, but I still remember reading their advice to carry around a Baggie of wheat germ so that you could sprinkle it on your restaurant dish if that meal just happened to lack whole grains. Moderation, people, moderation!

Thank you for this post! I am not pregnant now nor do I plan to have my first child for several years, but the idea of eating healthily and keeping pregnancy weight gain within the healthy range has been something I have always been interested in and plan to keep a careful eye on when I do become pregnant. Best wishes for a wonderful pregnancy!

You seem overjoyed and that is how it should be - I'm so happy for you! I had my first baby nearly 36 years ago and there was no real information out there about nutrition, other than take vitamins. I can't remember if I cut out coffee. I didn't drink. The funny thing I remember is picking out my favorite outfit to wear home from the hospital. They were pants and a long blouse. It never occurred to me my tummy might be a little squishy and they might not zip. There wasn't even a prayer. Thank God the blouse was long enough to get me into the car and into the house and the pants didn't fall down to my ankles. I'm glad you're all so much smarter today about the whole process!

i am 200 years pregnant (ok, about 38.5 weeks, but it feels like 200 years), and "what to expect" scared me half to death. my doctor was much calmer. so i ate a lot of fruits & vegetables, and calcium (ok, cheese, i am a sucker for cheese) and protein rich foods, and when i wanted something less healthy (the occasional ice cream, or soda, or whatever), i didn't feel bad about it, since i didn't do it that often. of course, for the first 4 months or so, i was never hungry, and even when i did eat, the food, um, didn't exactly stay with me, so i ate whatever i could keep down (which tended to be healthier things). if anything, i worried that i wasn't gaining enough weight (a problem i never thought i would have...), but the dr wasn't worried - he said the baby was 'living off the land' ;)

at this point, i need to eat a snack (cheese, fruit, cheerios, a glass of milk) every couple of hours, and drink plenty of water in order to stay coherent, but my weight gain has been very reasonable, and the doctor says everything looks good with the baby, so we are just waiting...

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